Prevalence Of Breast Self-examination Practice Research Articles

Breast self-examination practice and associated factors among women of reproductive age in southeast Ethiopia

Regular breast self-examination is the most cost-effective method for early detection of breast cancer, especially in resource-limited countries. However, breast self-examination practice was low among reproductive-age women.ObjectiveThis study aims to evaluate breast self-examination practice and associated factors among women of reproductive age in southeast Ethiopia.MethodsA convergent parallel mixed-methods study design was conducted on 836 women of reproductive age. An interviewer-administered questionnaire was used for the quantitative part of the study and supplemented by focus group discussions. A database was created using Epi-info version 3.5.3, and analyzed using SPSS version 20. Bivariate and multivariable logistic regressions were done to examine the effect of explanatory variables. Variables with p-value <0.05 during multivariable logistic regressions were considered as significantly associated with the dependent variable. Thematic data analysis was carried out for the qualitative study.ResultOut of 836 total participants, only 20.7% had ever heard about breast self-examination practice. Also, only 13.2% of the mothers had practiced breast self-examinations. Even though the majority of the participants during focused group discussions had knowledge about breast cancer screening, most of them stated that breast self-examination was not practiced among them. Maternal age, mother’s level of education, and previous history of breast examination by health professionals were significant predictors of breast self-examination practices.ConclusionThis study reported a low prevalence of breast self-examination practice. Therefore, enhancing women’s education and encouraging breast examination by health professionals are essential to increase the proportion of women performing breast self-examination.

Breast self-examination practice and associated factors among female healthcare workers in Ethiopia: A systematic review and meta-analysis.

BackgroundBreast cancer is common global public health problem. It is the principal cause of cancer related death. In Ethiopia, study findings regarding prevalence and associated factors of BSE among female healthcare workers have been inconsistently reported and highly variable. Thus, this systematic review and meta-analysis aimed to determine the pooled prevalence of breast self-examination practice and determinants in Ethiopia.MethodsA systematic search of PubMed, Medline, EMBASE, Global Health, Google Scholar, CINAHL and Scopus from April 2, 2020 to April 24, 2020. Data were extracted from articles included in the review using a data extraction tool which was adapted from the Joanna Briggs Institute. the quality of each included article was evaluated using the Newcastle-Ottawa scale. Data analysis was done using STATA 11. The Cochrane Q and I2 test were used to assess heterogeneity between the studies; and publication bias was assessed using funnel plots and Egger’s test. A random effects meta-analysis was computed to determine the pooled prevalence of breast self-examination. The determinants for breast self-examination were examined. Forest plots were used to present the prevalence and odds ratio with 95% confidence interval.ResultsAfter reviewing 9605 studies, 12 studies involving 4129 female healthcare workers were included for this review and meta-analysis. The pooled prevalence of breast self-examination practice among healthcare workers in Ethiopia was 56.31% (95% CI: 44.37, 68.25). The subgroup analysis further revealed that the higher breast self-examination practice was observed among other healthcare workers, 58.60% (95% CI: 43.31, 73.90). Good knowledge (AOR = 3.02; 95% CI: 1.24, 7.35), positive attitude (AOR = 2.73; 95% CI: 1.95, 4.13) and family history of breast cancer (AOR = 3.21; 95% CI: 1.22, 6.52) were significantly associated with breast self-examination practice among healthcare workers.ConclusionThis meta-analysis found that nearly half of the female healthcare workers were not performed breast self-examination. The finding of this study suggests the need of strengthening early diagnosis of breast cancer and control strategies with a collaborative effort of policymakers and other concerned stakeholders.

Breast Self-examination Practice among Female Health Extension Workers: A Cross Sectional Study in Wolaita Zone, Southern Ethiopia

Background: Early detection of breast cancer plays an important role in decreasing its morbidity and mortality. Health extension workers (HEWs) are the main actors to implement health extension packages and to provide primary healthcare services at community level in Ethiopia. Thus, if BSE is integrated with these packages, deaths from breast cancer can be averted by early detection and treatment. However, practice of the health extension workers on breast cancer and BSE is not known yet in Ethiopia. The study aimed to assess the Practice of Health extension workers on Breast Self-Examination and its associated factors in Wolayta Zone. Methods: A cross-sectional study conducted at Wolayta zone from 05/15/2017 to 06/01/2017. Simple random sampling technique used having sampling frame of all health extension workers, in Wolayta. A total of 281 health extension worker participated in the study. Data entered into Epi-info version 3.4.3, and exported to SPSS version 21 for analysis. Among the candidates, independent variables with a P-value <0.05 entered in the final model and having a dependent variable classified into dichotomous, a binary logistic regression model done to identify predictors of BSE practice among respondents. Results: Among a total of 281 HEW, 128 (45.6%) of respondents were ever practiced breast self-examination while the remaining 153 (54.4%) had never practiced BSE. HEW perceived BSE practice beneficiary had 3 times higher breast self-examination practice for AOR and 95% CI of (1.5-6.5). HEW with “high” and “low” level of perception for breast cancer had higher breast self-examination practice for AOR and 95% CI of [(5.0(2.0-10.5), 3.0(2.8-8.0)] respectively. Respondents were 3 times more likely to practice breast self-examination when there was Support on BSE from spouse/partner for AOR and 95% CI of (1.5-8.75). Conclusions: The prevalence of breast self-examination practice among HEW in Wolaita Zone was low implicating a great negative impact on early detection of breast cancer and breast problems. Moreover, giving training on the techniques of breast self-examination for health extension workers is the way of reaching the wider community and the best opportunity to tackle the problem at wider perspective.